What is the standard bloodtest for HRT & Thyroid

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    What is the standard bloodtest for HRT & Thyroid


    Without trying to get my Dr. to order Janz very in depth blood work what is the standard or recommended re-check I should ask for.

    I take

    2g Armour
    33mg test-e e3d
    lisinopril - high bp
    lamictal - bi-polar
    welbutrin - depression
    klonopin - sleep

    I have high hemoglobin so I get this checked every 2 weeks. Here are a few I am guessing

    test total
    free test
    estradiol
    estrogen total
    shgb
    prolactin
    cholesterol panel
    triglycerides
    lh - ?
    fsh - ?
    THYROID PANEL
    TSH
    t4 free
    t3 free
    lipid profile
    liver
    cbc

    I am looking to get the main hormone panel done and then general overall health. Please add or remove as you see fit.

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    Quote Originally Posted by corndog View Post
    Without trying to get my Dr. to order Janz very in depth blood work what is the standard or recommended re-check I should ask for.

    I take

    2g Armour
    33mg test-e e3d
    lisinopril - high bp
    lamictal - bi-polar
    welbutrin - depression
    klonopin - sleep

    I have high hemoglobin so I get this checked every 2 weeks. Here are a few I am guessing

    test total
    free test
    estradiol
    estrogen total
    shgb
    prolactin
    cholesterol panel
    triglycerides
    lh - ?
    fsh - ?
    THYROID PANEL
    TSH
    t4 free
    t3 free
    lipid profile
    liver
    cbc

    I am looking to get the main hormone panel done and then general overall health. Please add or remove as you see fit.
    Ask Cpeil2
    for help on checking and controlling high hemoglobin.

    My guess, most of the tests that you are listing are missing the point, specially if you doing them every two weeks.
    To what Cpeil2 will suggest
    add:
    -----------------------------------------
    FreeT3
    FreeT4(maybe)
    Estradiol, Free, LC/MS/MS (36169X)
    Testosterone, Free, Bio/Total (LC/MS/MS)
    -----------------------------------------
    keep
    FreeT3 at the top
    FreeE2 (0.45 - 0.6) use Liquidex, measure with insuline syringe with cut out needle (accuracy)
    BioavailableT ~574, use E2D injection schedule, one day (T + liquidex), next day (380iu hcg)
    ------------------------------------------------------------------------------------------

    and concentrate at Genova testing and eating recomended supplements. Retest Genova in 3-4 monts, implement tweaks that will come from second pass testing.

    Any recomended supplements I suggest you buy at LEF, due to quality considerations.

    If you are in UK those tests do not require prescription, just credit card.

    ============================== ==============
    I strongly suggest
    NutriEval (saliva, urine, blood)
    and
    EstroEssence (first morning urine)
    possibly also
    Comprehensive detoxification Profile.

    Also spend 2x $20 and study how to read and apply top two tests.

    -----------------------------------------------------------
    NutrEval discussed

    EW04 - NUTRITIONAL EVALUATION: Understanding Your Patient's Supplement Needs
    A4M :: Conference Library
    Conference: A4M Las Vegas 2006
    Speaker: Patrick Hanaway, MD
    December 7, 2006 6:00 pm - 9:00 pm
    ---------------------------------------------------------
    Estroessence discussed:

    GS02m - Estrogen Metabolism: Modifying Risk in Clinical Practice
    Conference: A4M Orlando 2006
    Speaker: Patrick Hanaway MD
    Length: 31m 07s - 66 Slides
    April 9, 2006 5:00 pm - 5:40 pm
    --------------------------------------------------

    Good luck;

    You possibly are not taking enough T,
    give me your SHBG, I will estimate.
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    t total = 899
    free t = 34.9
    e2 = 66 (lowered it with l-dex) testing next week as part of bt
    shgb = 22.8
    prolactin = 6.76
    albimum = 4.5
    psa = .31
    fsh = .21
    tsh = 1.276
    t4 free = .70
    t4 total = 4.30
    t3 total = 106
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    Quote Originally Posted by corndog View Post
    t total = 899
    free t = 34.9
    e2 = 66 (lowered it with l-dex) testing next week as part of bt
    shgb = 22.8
    prolactin = 6.76
    albimum = 4.5
    psa = .31
    fsh = .21
    tsh = 1.276
    t4 free = .70
    t4 total = 4.30
    t3 total = 106


    Table post #40
    Jan's BloodTest April13/2007
    line

    145 1030 22.6 300 x33.5 250

    You should use around 145mg/week
    that is

    62.14mg/shot=145/7*3 when on E3D schedule
    41.5mg/shot=145/7*2 when on E2d schedule
    I preffer E2D schedule.
    Final T dose adjustment is according to the BAT~575
    on that test from Quest above.

    Testosterone, Free, Bio/Total (LC/MS/MS)

    exactly as written, all what is written is important.
    Do not use doctor's/Quest forms to order this test,
    ask him to write on the blue script paper.

    Details of the test are here:
    Quest Diagnostics: Test Menu

    Do not spend money on useless or low value items (in red), get FreeT3 instead.

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